Mulpleta (lusutrombopag) — Blue Cross Blue Shield of Illinois

Initial criteria

• Diagnosis of thrombocytopenia with chronic liver disease AND ALL of the following:
• - Baseline platelet count < 50 x 10^9/L prior to therapy
• - Scheduled to undergo a procedure with associated risk of bleeding (e.g., gastrointestinal endoscopy, liver biopsy, bronchoscopy, dental procedure)
• - Would require platelet transfusion unless platelet counts increased from baseline prior to therapy